WO2007047380A3 - Ultrasonic device for cutting and coagulating - Google Patents

Ultrasonic device for cutting and coagulating Download PDF

Info

Publication number
WO2007047380A3
WO2007047380A3 PCT/US2006/039904 US2006039904W WO2007047380A3 WO 2007047380 A3 WO2007047380 A3 WO 2007047380A3 US 2006039904 W US2006039904 W US 2006039904W WO 2007047380 A3 WO2007047380 A3 WO 2007047380A3
Authority
WO
WIPO (PCT)
Prior art keywords
cutting
coagulation
tip
assembly
multitude
Prior art date
Application number
PCT/US2006/039904
Other languages
French (fr)
Other versions
WO2007047380A2 (en
Inventor
Stephen E Eichmann
Karen M Kowalski
Kenneth S Kramer
Michael R Lamping
Ashvani K Madan
Matthew C Miller
Aaron C Voegele
Eitan T Wiener
Joseph E Young
Original Assignee
Ethicon Endo Surgery Inc
Stephen E Eichmann
Karen M Kowalski
Kenneth S Kramer
Michael R Lamping
Ashvani K Madan
Matthew C Miller
Aaron C Voegele
Eitan T Wiener
Joseph E Young
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc, Stephen E Eichmann, Karen M Kowalski, Kenneth S Kramer, Michael R Lamping, Ashvani K Madan, Matthew C Miller, Aaron C Voegele, Eitan T Wiener, Joseph E Young filed Critical Ethicon Endo Surgery Inc
Priority to AU2006304189A priority Critical patent/AU2006304189A1/en
Priority to EP06825838.3A priority patent/EP1948026B8/en
Priority to ES06825838.3T priority patent/ES2625983T3/en
Priority to CN2006800426027A priority patent/CN101511286B/en
Priority to EP19213287.6A priority patent/EP3639773A1/en
Priority to CA002625793A priority patent/CA2625793A1/en
Priority to BRPI0617337A priority patent/BRPI0617337B8/en
Priority to EP17162008.1A priority patent/EP3207886B1/en
Priority to JP2008535673A priority patent/JP4980363B2/en
Publication of WO2007047380A2 publication Critical patent/WO2007047380A2/en
Publication of WO2007047380A3 publication Critical patent/WO2007047380A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1604—Chisels; Rongeurs; Punches; Stamps
    • A61B17/1606—Chisels; Rongeurs; Punches; Stamps of forceps type, i.e. having two jaw elements moving relative to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2841—Handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/162—Chucks or tool parts which are to be held in a chuck
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00424—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping ergonomic, e.g. fitting in fist
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • A61B2017/2825—Inserts of different material in jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A61B2017/320074—Working tips with special features, e.g. extending parts blade
    • A61B2017/320075—Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means

Abstract

An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The assembly includes a clamping mechanism, including a clamp arm cam-mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces. The balanced blade provides a functional asymmetry for improved visibility at the blade tip and a multitude of edges and surfaces, designed to provide a multitude of tissue effects: clamped coagulation, clamped cutting, grasping, back-cutting, dissection, spot coagulation, tip penetration and tip scoring. The assembly also features hand activation configured to provide an ergonomical grip and operation for the surgeon. Hand switches are placed in the range of the natural axial motion of the user's index or middle fingers, whether gripping the surgical instrument right-handed or left handed.
PCT/US2006/039904 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating WO2007047380A2 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
AU2006304189A AU2006304189A1 (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating
EP06825838.3A EP1948026B8 (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating
ES06825838.3T ES2625983T3 (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating
CN2006800426027A CN101511286B (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating
EP19213287.6A EP3639773A1 (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating
CA002625793A CA2625793A1 (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating
BRPI0617337A BRPI0617337B8 (en) 2005-10-14 2006-10-12 ultrasonic device
EP17162008.1A EP3207886B1 (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating
JP2008535673A JP4980363B2 (en) 2005-10-14 2006-10-12 Ultrasonic equipment for cutting and coagulation

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US72662505P 2005-10-14 2005-10-14
US60/726,625 2005-10-14
US11/548,407 US20070191713A1 (en) 2005-10-14 2006-10-11 Ultrasonic device for cutting and coagulating
US11/548,407 2006-10-11

Publications (2)

Publication Number Publication Date
WO2007047380A2 WO2007047380A2 (en) 2007-04-26
WO2007047380A3 true WO2007047380A3 (en) 2009-04-30

Family

ID=37963092

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/039904 WO2007047380A2 (en) 2005-10-14 2006-10-12 Ultrasonic device for cutting and coagulating

Country Status (9)

Country Link
US (6) US20070191713A1 (en)
EP (3) EP3639773A1 (en)
JP (1) JP4980363B2 (en)
CN (1) CN101511286B (en)
AU (1) AU2006304189A1 (en)
BR (1) BRPI0617337B8 (en)
CA (1) CA2625793A1 (en)
ES (1) ES2625983T3 (en)
WO (1) WO2007047380A2 (en)

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